Laserfiche WebLink
t <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES _ <br /> 3200 CEDAR STREET, EVERETT, WA 98201 - // -d5- <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org C 05-0 ?-07111 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> PROJECT ADDRESS <br /> OUr r\t' ► CD ()cop \ACY - -75bocp PaY)60\es 1UE MIS (4o <br /> Owner Mail Address City State/Zip Phone <br /> _Sc,in vsA Coo n \Y <br /> Tenant Mail Address City State/Zip Phone <br /> Z D\ \O )T \O A 4ZS/5\3— <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> \) �� 1�1 a0 1- <br /> State License Number (Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> • <br /> Description of Work to Be Done: \)c\`..J;_ ,,f V I \ <br /> t <br /> 1.1) <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> /5/ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> /hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> i whether specified herein or not. The granting of a permit does not presume to give authority to <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> li performance of construction. That l am authorized by the owner of this property to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> \ \ .76" <br /> Signature Date bS <br /> V <br />